There has been numerous articles and discussion in the therapeutic community about renaming BPD. Here is the text of an interview with Dr. Leland Heller about a new name and about his feelings about the current Borderline Personality Disorder Name (the emphasis in this article is mine):
A POSSIBLE NEW NAME FOR BORDERLINE PERSONALITY DISORDER
Many people would like to change the terminology of the “borderline personality disorder” to a new term that more accurately describes the illness. The term “BPD” in and of itself is as if the whole person (and the personality) is flawed, rather than looking at the BPD as a medical problem it actually is.
The term “borderline personality disorder” implies that there is no hope for treatment as many mental health professionals unfortunately still believe. There is thought that this illness borders on schizophrenia, thus the term “borderline.”
What then is borderline personality disorder? These questions have been posed to Dr. Leland Heller, expert in treating borderline personality disorder.
Q. What do you think about the term “borderline personality disorder”?
A. “I think it’s a horrible, insulting label for a real medical illness. The name alone reduces serious research, stigmatizes victims, and implies the person is crazy. It denies the medical nature of the process, and implies simply a personality problem.”
Q. Do you think “borderline personality disorder” is an accurate description?
A. “No I don’t. It implies a character problem. While I’ve encountered many people with a bad character who had the BPD, most borderlines I’ve treated (over 2100) do not have character problems. “Borderline” means patients live “at the border” between psychosis and reality. When borderlines are well treated medically, psychotic experiences are few and far between – and can be treated well. Borderlines don’t live at that border, they simply go into psychosis too easily under stress.”
Q. What is the BPD?
A. “The BPD is a medical problem, likely a form of epilepsy (brain cells firing inappropriately and out of control). The characteristic symptoms include inappropriate moodiness, chronic anger, emptiness, boredom, dysphoria (anxiety, rage, depression and despair) and psychosis. The other criteria are symptoms related to these medical problems.
ALL neurological disorders can have an effect on the personality, such as Parkinson’s disease which isn’t called the ‘shaking personality disorder.’ ”
Q. What does this term “Dyslimbia” mean?
“ ‘Dys’ means malfunction, and limbia meaning from the limbic system.
‘Dyslimbia’ is malfunction of the limbic system. While other neuropsychiatric disorders involve malfunction of the limbic system, the limbic system dysfunction is profound in the BPD. I chose Dyslimbia for my patients to take the stigma away. The BPD needs a new name, one that emphasizes healing not labeling.
I don’t care if it’s renamed ‘Dyslimbia’ or not, but a more honest, humane, and hopeful name needs to be made for this illness. Patients deserve to get medical attention for ‘Dyslimbia’ (or an equivalent name), rather than have doctors and therapists shun them because they are ‘borderlines.’”
I’d like to write more about the struggle for a new name… but one of the things to note is that most researchers in this area have recommended dropping the word “personality” from the name and reclassifying it Axis I. The most common and likely new name is “Emotional Regulation Disorder (ERD).”
UPDATE: Well, the DSM-V has been previewed and it appears that the term “Borderline Type” is being considered.
When Hope is Not Enough
Get the Non-BPD book
that has helped hundreds!
If you have the disorder, give it to you loved ones! It will help.
Related posts:
- People with Borderline Personality Disorder over diagnosed with Bipolar Disorder
- NIHM Director Thomas Insel considers the name of “Borderline Personality Disorder”
- Four reasons bipolar disorder is accepted and borderline personality disorder is not
- Borderline Personality Disorder and Migraine Headaches
- Angelina Jolie and Borderline Personality Disorder (again)
- On the edge: Group helps families cope with borderline personality disorder
- Emotion-Regulating Circuit Weakened In Borderline Personality Disorder
- Biology of Borderline Personality Disorder
- Celebrities with Borderline Personality Disorder (possibly, not for sure)
- Does Britney Spears have Borderline Personality Disorder?
Related posts brought to you by Yet Another Related Posts Plugin.
Loading ...
Blog Hub
Maxlinks
um, i gotta say, as someone with BPD, it really is not a bad, offensive name, if not perhaps even the perfect name. The mind is split in many aspects, it’s fractured, it’s on the fence, it is borderline. and as for the name destroying hope and possibility, it gives me some assurance just in the fact that there is a name for it-that there is a community of others suffering through the same thing-that i am not alone. the fact that it is just such a complicated disorder with such various effects and aspects, should not be looked down upon, and is also part of why I suppose some may take offense from sensitivity. But i really believe it is a great name for this horrible, complex problem.
I have BPD and i dont like the name at all. People think of BPD and think of and asume things that have nothing to do with the actual disorder. Ofcourse it is a really complex disorder and there is so much to it. But i really do think the name “borderline Personality” just dosent fit it. Borderline Disorder or even Emotional Regulation Disorder, I’ve even read Emotionally Unstable disorder, seems better than what it is now. Right now theres just too many misconceptions to it and im sure other people can relate to that.
It really does need a change. And more awareness this disorder is just as significant as bipolar , depression and any other mental health issue..
Why is just swept under the rug?
It’s completely inaccurate that BPD is neurological issue. Although medications such as antidepressants help this somewhat, it’s primary method of recovery is through therapy in which so many have completely recovered from this. It is emotional vs. an organic brain disorder.
Just because therapy helps, it doesn’t mean that there are no neurological issues. Intensive DBT has been shown to modify the brain pathways used when emotional stress is introduced. The current research has shown problems in the opiod and other neurochemical systems. I find it interesting that people accept that depression can be linked to serotonin issues and that SSRIs are effective, yet when BPD is considered, no acceptance of neurological dysfunction is accepted.